Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE 6H LT ULNADORL 234801006

Facility

$3,085.75

Hospital Charge Code	270633304
Hospital Revenue Code	278
Min. Negotiated Rate	$74.37
Max. Negotiated Rate	$1,542.88
Rate for Payer: Aetna Commercial	$1,172.59
Rate for Payer: Aetna Medicare Advantage	$925.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$786.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$786.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$617.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$786.87
Rate for Payer: Cigna Commercial	$1,542.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$746.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$678.87
Rate for Payer: Qualcare PPO/HMO/WC	$462.86
Rate for Payer: UnitedHealthcare Community & State	$74.37
Rate for Payer: Wellpoint Medicaid Managed Care	$81.77

PLATE 6 HOLE

Facility

$3,205.00

Hospital Charge Code	270702597
Hospital Revenue Code	278
Min. Negotiated Rate	$77.24
Max. Negotiated Rate	$1,602.50
Rate for Payer: Aetna Commercial	$1,217.90
Rate for Payer: Aetna Medicare Advantage	$961.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$817.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$817.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$817.27
Rate for Payer: Cigna Commercial	$1,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$775.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.10
Rate for Payer: Qualcare PPO/HMO/WC	$480.75
Rate for Payer: UnitedHealthcare Community & State	$77.24
Rate for Payer: Wellpoint Medicaid Managed Care	$84.93

PLATE 6 HOLE

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270690254
Hospital Revenue Code	278
Min. Negotiated Rate	$95.80
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,510.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$874.50
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Community & State	$95.80
Rate for Payer: Wellpoint Medicaid Managed Care	$105.34

PLATE 6 HOLE

Facility

$3,205.00

Hospital Charge Code	270702597
Hospital Revenue Code	278
Min. Negotiated Rate	$480.75
Max. Negotiated Rate	$775.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$775.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.10
Rate for Payer: Qualcare PPO/HMO/WC	$480.75

PLATE 6 HOLE

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270690254
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$874.50
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

PLATE 6 HOLE 1/3

Facility

$445.00

Hospital Charge Code	270661843
Hospital Revenue Code	278
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$222.50
Rate for Payer: Aetna Commercial	$169.10
Rate for Payer: Aetna Medicare Advantage	$133.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.47
Rate for Payer: Cigna Commercial	$222.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$97.90
Rate for Payer: Qualcare PPO/HMO/WC	$66.75
Rate for Payer: UnitedHealthcare Community & State	$10.72
Rate for Payer: Wellpoint Medicaid Managed Care	$11.79

PLATE 6 HOLE 1/3

Facility

$445.00

Hospital Charge Code	270661843
Hospital Revenue Code	278
Min. Negotiated Rate	$66.75
Max. Negotiated Rate	$107.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$97.90
Rate for Payer: Qualcare PPO/HMO/WC	$66.75

PLATE 6HOLE 2.7X3 5MM LCP LEFT

Facility

$6,740.00

Hospital Charge Code	270648927
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

PLATE 6HOLE 2.7X3 5MM LCP LEFT

Facility

$6,740.00

Hospital Charge Code	270648927
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

PLATE 6 HOLE 4.5 LCP MEDIAL

Facility

$9,191.10

Hospital Charge Code	270663319
Hospital Revenue Code	278
Min. Negotiated Rate	$221.51
Max. Negotiated Rate	$4,595.55
Rate for Payer: Aetna Commercial	$3,492.62
Rate for Payer: Aetna Medicare Advantage	$2,757.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,343.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,343.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,838.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,343.73
Rate for Payer: Cigna Commercial	$4,595.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,224.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,022.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,378.66
Rate for Payer: UnitedHealthcare Community & State	$221.51
Rate for Payer: Wellpoint Medicaid Managed Care	$243.56

PLATE 6 HOLE 4.5 LCP MEDIAL

Facility

$9,191.10

Hospital Charge Code	270663319
Hospital Revenue Code	278
Min. Negotiated Rate	$1,378.66
Max. Negotiated Rate	$2,224.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,838.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,224.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,022.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,378.66

PLATE 6HOLE CURV ORBITL 017126

Facility

$590.25

Hospital Charge Code	270630556
Hospital Revenue Code	278
Min. Negotiated Rate	$88.54
Max. Negotiated Rate	$142.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.85
Rate for Payer: Qualcare PPO/HMO/WC	$88.54

PLATE 6HOLE CURV ORBITL 017126

Facility

$590.25

Hospital Charge Code	270630556
Hospital Revenue Code	278
Min. Negotiated Rate	$14.23
Max. Negotiated Rate	$295.12
Rate for Payer: Aetna Commercial	$224.29
Rate for Payer: Aetna Medicare Advantage	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.51
Rate for Payer: Cigna Commercial	$295.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.85
Rate for Payer: Qualcare PPO/HMO/WC	$88.54
Rate for Payer: UnitedHealthcare Community & State	$14.23
Rate for Payer: Wellpoint Medicaid Managed Care	$15.64

PLATE 6 HOLE LATERAL LF

Facility

$7,500.00

Hospital Charge Code	270667386
Hospital Revenue Code	278
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

PLATE 6 HOLE LATERAL LF

Facility

$7,500.00

Hospital Charge Code	270667386
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PLATE 6HOLE LT LCP CONR 222657

Facility

$4,523.60

Hospital Charge Code	270630783
Hospital Revenue Code	278
Min. Negotiated Rate	$678.54
Max. Negotiated Rate	$1,094.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$904.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,094.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$995.19
Rate for Payer: Qualcare PPO/HMO/WC	$678.54

PLATE 6HOLE LT LCP CONR 222657

Facility

$4,523.60

Hospital Charge Code	270630783
Hospital Revenue Code	278
Min. Negotiated Rate	$109.02
Max. Negotiated Rate	$2,261.80
Rate for Payer: Aetna Commercial	$1,718.97
Rate for Payer: Aetna Medicare Advantage	$1,357.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,153.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,153.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$904.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,153.52
Rate for Payer: Cigna Commercial	$2,261.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,094.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$995.19
Rate for Payer: Qualcare PPO/HMO/WC	$678.54
Rate for Payer: UnitedHealthcare Community & State	$109.02
Rate for Payer: Wellpoint Medicaid Managed Care	$119.88

PLATE 6 HOLES 2.0 MM X 36MM

Facility

$1,152.00

Hospital Charge Code	270667565
Hospital Revenue Code	278
Min. Negotiated Rate	$172.80
Max. Negotiated Rate	$278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.44
Rate for Payer: Qualcare PPO/HMO/WC	$172.80

PLATE 6 HOLES 2.0 MM X 36MM

Facility

$1,152.00

Hospital Charge Code	270667565
Hospital Revenue Code	278
Min. Negotiated Rate	$27.76
Max. Negotiated Rate	$576.00
Rate for Payer: Aetna Commercial	$437.76
Rate for Payer: Aetna Medicare Advantage	$345.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.76
Rate for Payer: Cigna Commercial	$576.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.44
Rate for Payer: Qualcare PPO/HMO/WC	$172.80
Rate for Payer: UnitedHealthcare Community & State	$27.76
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

PLATE 6 HOLES TUBULAR WITH

Facility

$396.00

Service Code	HCPCS C1713
Hospital Charge Code	270656910
Hospital Revenue Code	278
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

PLATE 6 HOLES TUBULAR WITH

Facility

$396.00

Service Code	HCPCS C1713
Hospital Charge Code	270656910
Hospital Revenue Code	278
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$198.00
Rate for Payer: Aetna Commercial	$150.48
Rate for Payer: Aetna Medicare Advantage	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.98
Rate for Payer: Cigna Commercial	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$59.40
Rate for Payer: UnitedHealthcare Community & State	$9.54
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

PLATE 6 HOLE Utility pole

Facility

$8,100.00

Hospital Charge Code	270669408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,215.00
Max. Negotiated Rate	$1,960.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,960.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,782.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00

PLATE 6 HOLE Utility pole

Facility

$8,100.00

Hospital Charge Code	270669408
Hospital Revenue Code	278
Min. Negotiated Rate	$195.21
Max. Negotiated Rate	$4,050.00
Rate for Payer: Aetna Commercial	$3,078.00
Rate for Payer: Aetna Medicare Advantage	$2,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,065.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,065.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,065.50
Rate for Payer: Cigna Commercial	$4,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,960.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,782.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00
Rate for Payer: UnitedHealthcare Community & State	$195.21
Rate for Payer: Wellpoint Medicaid Managed Care	$214.65

PLATE 6 HOLE VOLAR 80MM

Facility

$4,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694034
Hospital Revenue Code	278
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$1,203.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,203.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,094.50
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

PLATE 6 HOLE VOLAR 80MM

Facility

$4,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694034
Hospital Revenue Code	278
Min. Negotiated Rate	$119.90
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,203.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,094.50
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Community & State	$119.90
Rate for Payer: Wellpoint Medicaid Managed Care	$131.84

Know your out-of-pocket cost for care.

All Charges